Medical Billing Professional

MEDICAL BILLING PROFESSIONAL

Agency Description:

The Ron Wood Family Resource Center is a non-profit organization founded in 1995 and is governed by a Board of Directors.  The mission of the Center is to create a lasting community-wide cooperative effort between the private sector and governmental agencies to promote healthy family relationships through education and support services.  RWFRC’s annual operating budget is approximately $2.5M and employs highly talented staff.  The Center operates under 14 grants and offers a wide variety of programs and services including WIC; various parenting classes; case management and referral; child safety seat project; youth emotional regulation workshops and substance abuse prevention education programs.

General Function:

The Medical Billing Professional serves under the immediate supervision under the direction of the Executive Director.  The Medical Billing Professional of the Center will be an organized professional with strong accounting background, fiscal accountability qualities and will have the ability to maintain the daily accounting data control practices and allocate expenditures utilizing various funding streams, grants and insurance providers for the organization.

Duties and Responsibilities:

1.Medical Billing proficiencies – Expertise in receiving PARS – Prior Authorization Procedure from Medicaid and private insurance to bill for services provided by the Ron Wood Counseling Center.  Expertise in ICD-9 and/or ICD-10 diagnosis codes and ability to meet deadlines.  Interface daily with the Clinical Director to ensure billing and payments are reconciled in electronic database platforms.  Properly code services, procedures, diagnoses, and treatments. Prepare and send invoices or claims for payment. Correct rejected claims. Track payments and follow up with patients and insurance companies about outstanding bills.

2. Private insurance and grant-based accountability – Experienced in setting up and maintaining private insurance for the Center.  Ability to work with fiscal manager to coordinate electronic payment accountability and process.

3. General Clerical Support Duties:  Expertise in Microsoft Office Software and Adobe Acrobat Pro, maintain filing systems, copying, collating, preparation of back-up documentation for a variety of grantors and other related duties as required.

Requirements:

1.  Degree in Accounting and 1 year experience in medical billing and ICD medical coding.

Or

A combination of experience and education which provides the knowledge and experience to support the counseling center operations of the counseling center.

1. Strong medical software expertise is mandatory.  Non-profit experience preferred
2. Ability to work with the executive director, clinical director and fiscal manager in a professional manner.  Must be a self-starter and have the ability to express ideas clearly, both orally and in writing.
3. Must be willing to submit to a background investigation, which includes fingerprinting. 

Details:

            Hours:             This is a 21+ hour per week position includes benefits

Hours may be increased due to program enhancements and depending on incumbent.

Wages:                        Depends on Experience - $25.00 – $28.00 per hour _ health benefit stipend (pro-rated)

This is a description of job duties and responsibilities only.  This does not constitute a promise or an agreement for employment.  This position is considered a professional level and is an extension of the review process.  The RWFRC is an Equal Opportunity Employer.

This job description is an outline of the position.  This position also includes other related duties that may not be listed.